Healthcare Provider Details

I. General information

NPI: 1588230163
Provider Name (Legal Business Name): RACHEL CLAIRE TOMLINSON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL CLAIRE ROBERTS

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 18TH ST
SAN FRANCISCO CA
94143-4200
US

IV. Provider business mailing address

675 18TH ST
SAN FRANCISCO CA
94143-4200
US

V. Phone/Fax

Practice location:
  • Phone: 501-993-5657
  • Fax:
Mailing address:
  • Phone: 501-993-5657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY35196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: